NPI | 1780994913 |
---|---|
Doing Business As | SUSAN PARK, MD |
Entity Type | Organization |
Authorized Contact | SUSAN PARK Owner 212-427-1642 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 2327981) |
Enumeration Date | 2010-10-21 |
Last Update Date | 2010-10-21 |